NPI 1811950074 · live from the CMS NPI Registry
Robert B. Ecker, MD
Dermatology in Groton, CT. National Provider Identifier 1811950074, active.
NPI record
| NPI | 1811950074 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 491 Gold Star Hwy, Suite 310, Groton, CT 06340 |
| Practice phone | 860-445-8020 |
| Enumerated | April 10, 2006 |
| Last updated | November 25, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | MD40790 (TN) |
| Dermatology primary | 207N00000X | 52390 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.